2026 NPPES data Ophthalmology Physician NPI 1508074543 MD
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SHILPI PRADHAN, MD

Ophthalmology Physician in GLEN ALLEN, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
499
Medicare Part D claims · 145 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$814.45
24 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SHILPI PRADHAN, MD reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 499 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
499
Part D claims, 2023
70%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

SHILPI PRADHAN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

SHILPI PRADHAN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about SHILPI PRADHAN, MD?

Below national average

NPI registry status

Active

Issued 05/21/2007

NPI 1508074543

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

499 65% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Virginia

How Ophthalmology Physician compares to other specialties among Virginia providers

Virginia providers

Ophthalmology Physician share within Virginia

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Virginia

Medicare quality performance — MIPS

SHILPI PRADHAN, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Ophthalmology Physician) — 0/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SHILPI PRADHAN, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 3960 STILLMAN PKWY, GLEN ALLEN, VA, 23060, with a listed phone of (804) 270-3333. NPI 1508074543 was issued on 05/21/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PRADHAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 499 prescription claims written by this provider, covering 145 Medicare beneficiaries and totaling roughly $69K in drug spend, split 30% brand-name and 70% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3960 STILLMAN PKWY
GLEN ALLEN, VA 23060

Provider Details

NPI 1508074543
Specialty Ophthalmology Physician
Credentials MD
Gender Female
NPI Issued 05/21/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SHILPI PRADHAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$814

Largest payer

Tarsus Pharmaceuticals, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

SHILPI PRADHAN, MD — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 499 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

499
Total Claims
$69K
Total Drug Cost
145
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
783
Total Day Supply
20,250
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$59K
Generic Drug Cost
$9K
Antibiotic Claims
42

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.11
Gender Split
70% female / 30% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What SHILPI PRADHAN, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Latanoprost
50
Prednisolone Acetate
50
Brimonidine Tartrate
47
Ofloxacin
40
Erythromycin
Erythromycin Base
35
Combigan
Brimonidine Tartrate/Timolol
23
Montelukast Sodium
23
Dorzolamide Hcl
22
Timolol Maleate
16
Cromolyn Sodium
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Ophthalmology Physician Overview

How SHILPI PRADHAN, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

SHILPI PRADHAN, MD's 499 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as PRADHAN.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHILPI PRADHAN, MD's specialty?
SHILPI PRADHAN, MD specializes in Ophthalmology Physician and practices in GLEN ALLEN, Virginia. Credentials: MD.
How much does SHILPI PRADHAN, MD prescribe under Medicare Part D?
In 2023, SHILPI PRADHAN, MD wrote 499 Medicare Part D claims totaling $69K in drug costs for 145 beneficiaries.
What is SHILPI PRADHAN, MD's Medicare quality score?
SHILPI PRADHAN, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHILPI PRADHAN, MD located?
SHILPI PRADHAN, MD is located at 3960 STILLMAN PKWY, GLEN ALLEN, VA, 23060. Phone: (804) 270-3333.
What is SHILPI PRADHAN, MD's NPI number?
SHILPI PRADHAN, MD's National Provider Identifier (NPI) is 1508074543, issued on 05/21/2007.
Does SHILPI PRADHAN, MD prescribe more brand-name or generic drugs?
SHILPI PRADHAN, MD's prescribing is 30% brand-name and 70% generic drugs by claim count, with $59K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does SHILPI PRADHAN, MD prescribe most often?
Based on 2023 Medicare Part D data, SHILPI PRADHAN, MD's most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Brimonidine Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHILPI PRADHAN, MD accept Medicare?
SHILPI PRADHAN, MD appears in CMS Medicare data with 499 Part D claims and 145 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHILPI PRADHAN, MD's credentials?
SHILPI PRADHAN, MD's NPI is 1508074543 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology